Individual
STEPHANIE MICHELLE FIDGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
406 CHATHAM SQUARE OFFICE PARK STE 101, FREDERICKSBURG, VA 22405-2585
(540) 373-9577
(540) 373-6266
Mailing address
406 CHATHAM SQUARE OFFICE PARK STE 101, FREDERICKSBURG, VA 22405-2585
(540) 373-9577
(540) 373-6266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904004517
VA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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